Sandra M Nettina, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in West Friendship, Maryland. Her current practice location is
2760 Wynfield Rd, West Friendship, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 336-3385.
Sandra M Nettina is licensed to practice in Maryland (license number R109061) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407880131.
Provider's Profile
| Full Name | Sandra M Nettina |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 2760 Wynfield Rd, West Friendship, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407880131
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113983073
- Enrollment ID: I20041202000999
Medical Identifiers
Medical identifiers for Sandra M Nettina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407880131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | R109061 (Maryland) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sandra M Nettina allows following entities to bill medicare on her behalf.
| Entity Name | Prime Care House Calls Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548658438 PECOS PAC ID: 9537483581 Enrollment ID: O20150121001889 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra M Nettina is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sandra M Nettina, CRNP 2760 Wynfield Rd, West Friendship, MD 21794-9519 Ph: (410) 336-3385 | Sandra M Nettina, CRNP 2760 Wynfield Rd, West Friendship, MD 21794-9519 Ph: (410) 336-3385 |
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